USA > Massachusetts > Norfolk County > Quincy > Inaugural address of the mayor, with the annual report of the officers of the city of Quincy for the year 1935 > Part 13
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E.R.A. Project
The tennis court was completed this fall by the E.R.A. workers. Al- ready many of the doctors and student nurses have played tennis.
Ambulance
New Packard Ambulance
A much need ambulance was delivered to the Quincy City Hospital in November. It is modern in every respect and has all the conveni- ences to meet with any emergency. Since the delivery of the ambu- lance, a House Officer accompanies the ambulance on all accident and maternity cases. The old ambulance will be kept in repair - ready and available for service.
New Portable Garage
Ten days before the new ambulance arrived - and again with the aid of the Commissioner of Public Works, Mr. Sargent, a tin portable two-car garage was erected at the rear of the old Administration Build- ing. It is heated and lighted, and has a concrete floor. The new am- bulance and the garage have met a long felt need of the hospital.
Cooperation of Quincy Police Ambulance
At this time I wish to thank the Quincy Police Department for the fine work it did in cooperating with the hospital to give the city of
212
CITY OF QUINCY
Quincy adequate ambulance service. In emergencies, we still call on the Police Department for help.
Children's Christmas Party
One of the high lights of the year was the first Children's Christmas Party, held on December 20th, which was supported by the Kiwanis Club and other friends of the hospital.
On Thanksgiving and Christmas, the patients who were able to sit up were allowed to eat their dinner at a banquet table.
Employees' Party
The first Quincy City Hospital Employees' Christmas Party and Dance was held in the Nurses Home on December 20th. Nurses' Alumnae Room
At this time I wish to thank the Alumnae Association of the Quincy City Hospital for their help and generous support. They paid for the furniture for the Nurses' Alumnae Room on M&S III. I hope that the Alumnae will maintain their interest and support of the hospital, its school for nurses, and all for which the Quincy Hosiptal stands.
Contributions Appreciated
I wish to take this opportunity to thank our many good friends who have contributed in one way or another in making the work at the hospital pleasant and less difficult.
Cooperation of Employees and Staff
Employees have been most faithful, and only with their energetic help and cooperation have we been able to accomplish so much, es- pecially in the past three and a half months. The help and splendid cooperation of the nurses, consulting, active, and courtesy staffs has been appreciated by the administration and the patients treated at the hospital during the past year.
Help of Welfare Department Appreciated
I wish to take this opportunity to express our appreciation for the help given us by the City Welfare Department. With the aid of Mr. Alvin Wight and Mr. George Loftus, a great deal was accomplished at various times during the year in the housekeeping and maintenance departments.
To the Board of Managers, the City Departments, Mayor Thomas Burgin, City Auditor George Bonsall, I give my hearty thanks for their cooperation with the administration in the smooth-running of the Quincy City Hospital.
Hospital Needs
Hospital needs and the order of their necessity are as follows:
1. Stenographer for the record room.
2. Secretary to the Superintendent and Administrative Offices.
3. Assistant pharmacist.
4. Electric dish washers and dish warmers for all wards.
5. Screening of porches on children's ward.
6. Enclosing the solaria of the M&C and M&S Buildings to be used by the patients and their visitors as well as provide extra bed space for emergencies.
7. Over-bed and bed-side tables for ward patients.
8. Providing cellar space to the north wing of the M&C Building.
9. New wing to the Nurses Home.
Respectfully submitted,
JOSEPH P. LEONE, M.D. Superintendent
213
REPORT OF CITY HOSPITAL
GENERAL INFORMATION
The Quincy City Hospital is a city institution supported by the city of Quincy and the receipts from patients.
Private patients, as well as part-pay and free patients, are admitted to the hospital upon recommendation of any physician.
Only those unable to pay a doctor's fee will be admitted to the ward service.
Application for admission should be made at the Admitting Office on Whitwell Street between the hours of 9 A.M. and 4 P.M. Mater- nity cases are admitted at any time. Accident or emergency cases are received in the Accident Room at any time.
Patients suffering from mental or chronic diseases are not admitted to the hospital.
Rates
1. General
Wards - $3.00 a day. Wards Private - $4.00 a day.
Semi-private - $4.50 a day. Private Rooms - $5.00, $6.00 a day.
2. Maternity
Wards - $4.00 a day. Semi-private - $5.00 a day. Private Rooms - $6.00, $7.00 a day.
These charges include board, general nursing care, and ordinary medi- cines. An operating room fee of $10.00 for majors and $5.00 for minors, is made. A laboratory fee of $5.00 is made on all specimens obtained from operations in the operating room. This examination is required by the American College of Surgeons. Extra charges will be made for X-ray examinations, special medicines, Physio-therapy treatments, spe- cial laboratory examinations, appartus, board of special nurses, oxygen, professional donors, and ambulance service.
Private patients are required to pay one week's board and the oper- ating room fee or delivery room fee on admission. Patients coming from outside of the city are expected to have a private physician, a member of the Quincy City Hospital Attending Staff. Patients must arrange with their private physicians regarding their fees. The phy- sicians on service receive no remuneration for their services to the ward patients.
The hospital reserves the right to move to the open ward a patient occupying a private or semi-private room who fails to pay his bill for hospital service within 72 hours of presentation.
Visiting Hours
1. Adults
Wards: 2-3 P.M., daily, 2 visitors at a time. 7-7:30 P.M., daily, 1 visitor at a time.
Semi-private and Ward Private: 2-4 P.M., daily, 2 visitors at a time. 7-8 P.M., daily, 2 visitors at a time.
Private Rooms: 11 A.M. - 8 P.M., daily, 2 visitors at a time.
2. Children.
2-3 P.M., Wednesdays and Sundays, 2 visitors on each of these days.
Patients who are dangerously ill may have two visitors at any time. Children under 14 years should not be brought to visit patients.
214
CITY OF QUINCY
Visitors may bring only fruit, flowers. and reading matter to adults. These gifts must be left at the Information Desk or with the nurse on the ward, and must not be given to the patients. Only toys may be brought to the children's ward.
At 3 P.M .. on inquiry at the Information Desk. the relatives of pa- tients may talk with the physician in charge.
Patients may be visited by clergymen of their selection and. so far is possible. the hospital will grant the performance of any desired re- igious rites.
Private Nurses
Arrangements for special nurses should be made through the Admit- :ing Office upon consultation and advice of the attending physician The salary of the special nurse is paid direct to her by the patient or relatives. The hospital makes a charge of $.50 a day for her board Quincy City Hospital graduates. when available. are given preference
Miscellaneous Information
Telephones
There are telephone connections in all private rooms. Instruments may be installed with the permission of the attending physician. There is an extra charge for this service.
What to Bring
Private patients entering the hospital should bring with them night- gowns. bathrobe. slippers, comb. tooth brush. and tooth paste. Mater- nity patients are requested not to bring clothing for the baby to wear in the hospital
Valuables
Money and other valuables must be deposited with the Adminting Office upon admission: otherwise no responsibility will be assumed
Library
The Thomas Crane Public Library maintains a branch at the Quiner City Hospital. Books are obtainable from the Librarian, who vist- each floor between 2 and 5 P.M. on Mondays. Wednesdays and Fridays
Suggestions
It is requested that any suggestions for improvement of service be made at the superintendent's office before the patient leaves the hos- pital.
215
REPORT OF CITY HOSPITAL
QUINCY CITY HOSPITAL FINANCIAL STATEMENT January 1 to December 31, 1935
Receipts
1935 Report 1934 Report
Private Room
$ 31,409.47
$ 40,313.40
Ward Private
38,469.62
35,617.75
Regular Service
19,922.27
18,015.95
Obstetric
35,915.39
35,242.16
Operating Room
15,371.35
16,005.91
X-ray
11,705.15
12,661.04
Ambulance
1,973.00
1,916.80
Medical and Surgical Supplies
524.88
399.65
Physical Therapy
4,102.34
4,315.16
Board Special Nurses
2,218.20
4,288.25
Nurses Equipment.
129.42
73.54
Miscellaneous
1,280.41
1,098.08
Laboratory
7,015.70
7,348.42
Endowment Fund Income
3,494.75
4,636.24
173,531.95
181,932.35
Refunded to Patients
978.61
1,097.86
Total Receipts less Refunds
$172,553.34
$180,834.49
Expenditures
Salaries and Wages:
1935
1934
Administration Officers and Clerks
$ 12,750.35
$ 12,183.60
Telephone Operators
3,988.29
3,918.85
Supt. of Nurses, Instrs., Chge. Nurses
99,981.89
86,713.09
Nurses
96.93
781.21
Physical Therapy
4,534.12
3,788.27
Orderlies
4,633.71
3,778.72
X-Ray
4,242.98
6,462.84
Ambulance
3,033.72
2,736.28
Housekeeping and Kitchen
46,597.79
45,810.11
Laundry
6,655.19
6,481.10
Maintenance-Property & Power Plant
9,379.24
9,324.88
Care of Grounds
1,340.86
1,270.66
Laboratory
5,547.77
4,451.80
Total Pay Roll
$202,782.84
$187,701.41
Pensions
2,005.00
1,579.00
Other Expenses :
$ 4,924.07
$ 5,461.70
Medical and Surgical
25,405.57
24,416.67
X-ray
3,060.16
3,347.00
Ambulance
1,384.64
528.32
Nurses Equipment
579.91
375.19
Housekeeping and Kitchen
16,423.12
16,389.55
Laundry
2,095.43
1,968.41
Groceries
16,416.48
15,698.91
Butter and Eggs Milk and Cream
8,501.39
7,573.12
11,222.89
10,730.33
Fruits and Vegetables
9,002.11
10,019.93
General Administration
216
CITY OF QUINCY
Meats. Poultry and Fish
17,152.56
16,608.63
Coal and Wood
11,122.67
11,381.38
Electricity and Gas
6,819.21
6,476.00
Transportation and Express
317.81
324.75
Commissions
5,481.07
6,459.16
Repairs to Buildings and Plant
6,364.63
4,967.79
Postage
400.00
400.00
Petty Expenses
76.31
96.68
Insurance
239.70
427.87
$146,989.73
$143,651.39
Total Expenditures
$351,777.57
$332,931.80
217
REPORT OF CITY HOSPITAL
REPORT OF THE PRESIDENT OF THE STAFF
To the Board of Managers of the Quincy City Hospital, Gentlemen:
Changes in Personnel
Since the mid-summer of 1935, many radical changes have been made which are reflected in the improvement in our hospital personnel, bet- ter coordination, and a more efficient organization.
A new and very cooperative Board of Managers was appointed, and. after carefully looking over the field, they selected for our executive a physician well trained in hospital management.
Repeated conferences between our superintendent and the staff have led to closer relationship between hospital, physician and patient.
Reorganization of Services
The Active Staff of the hospital has been reorganized, and an extra surgical service has been approved by the Board of Managers. The obstetrical service has also been reorganized and three extra physicians appointed to assist the chief obstetrician.
Consultants Appointed
A Consulting Staff of Physicians, Surgeons, and Pediatricians, con- nected with the larger Boston hospitals, have accepted appointments to our Consulting Staff. Since they have been appointed to the various departments, we feel the service patients have the best medical ser- vice available.
Ward Rounds Instituted
There is a large number of very interesting cases admitted to our wards weekly, and with our well equipped laboratory and X-ray de- partments, we are all able to study our cases more scientifically. We have instituted weekly a grand ward visit, inviting any physician in Quincy or the South Shore to accompany us. This is in accord with the large teaching hospitals in the country. Since the inauguration of these visits, the attendance has been satisfactory.
With such a large and thoroughly equipped hospital in Quincy, a well trained staff, thorough cooperation with our superintendent and the Board of Managers, the citizens of Quincy are ably served during their stay in the hospital.
We are sorry to report the deaths of Dr. John Jenks Thomas and Dr. Samuel W. Ellsworth, both of whom served in the capacity of con- sultants and who gave generously of their time to the hospital staff.
Respectfully Submitted,
WILLIAM J. McCAUSLAND, M.D. President of Staff
REPORT OF THE STAFF PROGRAM COMMITTEE
To the Board of Managers of the Quincy City Hospital, Gentlemen:
Increased Attendance
The Committee on Arrangements for the Staff Meetings for the year 1935-36 has tried to prepare a more attractive schedule, which has re- sulted in an increased attendance, to date, of both the Active and Cour- tesy Staffs.
218
CITY OF QUINCY
More Interesting Meetings
The newly appointed consultants for the various departments are to meet the Staff and give papers on their respective specialties. The first of these papers, "The Control of Infantile Paralysis," was presented by Dr. Canon Ely at the November meeting. It is also the desire of the committee that the Active Staff contribute clinical talks on the work being done by the various services of the hospital.
Pathological Conferences
There are held monthly Clinical Pathological conferences at which the internes and Pathologist discuss the clinical cases with special re- ference to the post mortem findings. These conferences are expected to give a more scientific approach to the study of disease and conform with the requirements of the American College of Surgeons.
Respectfully submitted,
FRANCIS P. MCCARTHY, M.D., Chairman J. EDWARD KNOWLTON, M.D. DAVID H. MONTGOMERY, M.D.
REPORT OF THE RECORD COMMITTEE
To the Board of Managers of the Quincy City Hospital Gentlemen:
During the year 1935, the Record Committee attempted to interest the cooperation of the Staff in' having more complete hospital records -especially before filing them. This was not altogether satisfactory, and it is hoped that more pressure will be brought in the coming year so that our records will comply with the American College of Surgeons requirements.
Respectfully submitted, FRED A. BARTLETT, M.D., Chairman ROBERT L. COOK, M.D. WILLIAM L. KRIEGER, M.D.
REPORT OF THE MEDICAL SERVICE
To the Board of Managers of the Quincy City Hospital Gentlemen :
Dr. John Ash Resigns
As in the past, the Medical Staff have carried on to the best of their ability in rendering their service during 1935. During the year Dr. John Ash voluntarily resigned, and Dr. Rappeport has been appointed by the Board of Managers to fill the vacancy.
Death Takes Dr. Thomas
We sincerely regret the loss of Dr. Thomas, our esteemed and long- time neurological consultant. Dr. Thomas, a man of unquestioned ability and kindly attitude, served for many years as consultant to the Quincy City hospital. We truly miss his diagnostic ability and his sound judgment, and will ever remember his willing and friendly co- operation in his very many visits to our hospital patients.
219
REPORT OF CITY HOSPITAL
Dr. Locke
The same feelings apply to Dr. Edwin Locke who has accepted a place of great honor and responsibility at Williams College. We ex- tend to him our congratulations and good wishes in his new field of duty.
New Consultants Added
We cordially welcome our recently appointed consultants, Dr. Phipps and Dr. Evans. We hope and believe that these able consultants will find this association with the Quincy Hospital a worthwhile connection, and both they and the staff will look forward to hours of mutual bene- fit and profit.
Respectfully submitted, C. J. LYNCH, M.D. Medical Staff
REPORT OF AURAL SERVICE
To the Board of Managers of the Quincy City Hospital Gentlemen:
During the year 1935, the aural service has enjoyed full cooperation with the various staff services and members.
Statistics of the aural work performed at this hospital during 1935 are as follows:
Service Tonsils 352
Service Mastoids 10
Respectfully submitted, W. J. HARKINS, M.D. Chief of Service
REPORT OF PEDIATRIC SERVICE
To the Board of Managers of the Quincy City Hospital Gentlemen:
Aim of Service
The duties of the pediatrician in charge of the service also include supervision of the newly born service babies. It has been the aim of the pediatric service to follow certain principles as much as possible :
1. To make a teaching service as far as possible.
2. To refer all cases to the Social Service Department and, when ne- cessary, to plan by conference with the social worker some work- able future for those children where a medico-social problem exists.
3. To make the service useful both to the physicians and to the citizens of Quincy.
Occasionally certain highly specialized types of diseases are admitted that, could be better treated in special hospitals. In such cases, these children are promptly transferred to the appropriate hospital. It is to be regretted that the pediatric service is not used more both by the physicians and the people of Quincy.
220
CITY OF QUINCY
A diagnosis file is kept whereby it is possible to ascertain how many cases of the same diagnosis have been admitted previously.
The charts of all newly born service babies who are on artificial feed- ing are inspected daily by the pediatrician.
Air Conditioning of Nursery
Air conditioning is soon to be installed in the Nursery. For prema- ture babies this is probably one of the most important ways to cut down the mortality. It has been noticed that a temperature of 76°, along with a humidity of 65%, decreases the pneumonia rate to a tre- mendous extent.
Need for Convalescent Home for Children
In closing, I should like to mention the fact that to my mind one of the most crying needs in Quincy at the present time is a convalescent home for children. In this way it is possible to cut down expensive hospital stay and substitute a more agreeable environment for a con- valescent child. In many cases this would prevent frequent readmis- sions of a child - owing to faulty diet, supervision, or living conditions at home.
The following statistics are interesting perhaps only to physicians. but they will emphasize the fact that rare cases are seen in smaller as well as larger cities.
Adenitis
4
Antrum infection
1
Aphthae Stomatitis
1
Arthritis
1
Avitaminosis
Boarder
1 1
Brain tumor
6
Deaths 2
Constipation
2
Diagnosis deferred
2
Diarrhea, infectious
2
Dietary deficiency
1
Encephalitis
2
Encephalitic
tremor
Encodarditis
Epistaxis
Feeding, regulation of
Fissure in ano
1
Follicular tonsilitis
1 1
Foreign body, throat
Gastritis 1
Gastro-enteroptosis
1
Hemorrhagic bronchopneumonia
Deaths 1
Immersion
1
Infection, upper respiratory
25
Intestinal toxemia
Deaths 1
Lung abscess 1
Malnutrition
3
Marasmus
Mastoiditis
2
No disease
2
Otitis media
5
Pylotic stenosis
2
· Pyloric spasm
1 Pyelitis 1
-
Deaths 1 Deaths 1 1
Nephritis
1 1 1 9
Bronchoneumonia
Asthma 3 1
221
REPORT OF CITY HOSPITAL
Purpura, simplex
1
Prematurity
1
Poisoning
5 Deaths 1
Poison Ivy
1
Polio myelitis
1
Pneumonia, lobar
13
Deaths 1
Pharyngitis
3
Redundant prepuce
1
Synovitis
1
Scarlet fever
1
Scurvy
1
Tetanv
1
Tonsilitis
5
Tonsils Hypertrophy
1
Tuberculosis
1
Urticaria
2
Total
128
8
Grand Total 136
Respectfully submitted, E. B. FITZGERALD, M.D. Pediatrician
REPORT OF THE X-RAY DEPARTMENT
To the Board of Managers of the Quincy City Hospital Gentlemen:
Increase Noted
There was a material increase in the number of patients radiographed in the X-ray department during the year 1935. This increase is par- tially accounted for by the great number of repeat examinations due to severe injuries and lung conditions which required interval examina- tions in order to watch the progress closely.
Rebecca M. Philbrick continued as head technician. She was ably assisted by Constance Larkin and Martha Johnston of the hospital nursing staff, both of whom have been trained in X-ray technique.
Fluroscopic Facilities Used Extensively
The fluroscopic facilities of the laboratory have been used more than ever in the past year, particularly in the examination of lung conditions, the reduction of fractures, and in examining closely the various areas in the gastro-intestinal tract.
Record System Simplified
Evelyn Hartford is now doing the stenographic work in the depart- ment in place of Alice F. Broderick. The record system has been sim- plified by consolidating the doctor's request for examination and the final diagnostic reading on one slip of paper.
The following is the statistical report of the cases seen in the X-ray department during the period from January 1, 1935 to December 31, 1935 :
X-ray Examinations :
Spines 296
Pelves 113
Extremities 1274
222
CITY OF QUINCY
Shoulders
108
K. U. B.
149
Pregnancies
60
Pyelograms
47
G. I. Series
130
Gall bladder with stain
61
Gall bladder without stain
20
Barium enemeta
48
Neo-Skiodan
4
Chests
613
Hearts
6
Ribs
94
Skulls
148
Noses
17
Jaws
51
Mastoids
58
Sinuses
40
Teeth
48
Eves
3
Reduction of fractures
10
Total
3398
Treatments :
W. C. T.
19
Thymus
27
Deep Therapy
24
Leukemia
2
Furuncles
29
Axilla glands
2
Total 103
In all things pertaining to the Laboratory, I have had the hearty co- operation of the administration and staff, for which I wish to express my appreciation.
Respectfully submitted, CHARLES WHELAN, M.D.
REPORT OF THE PHYSICAL THERAPY DEPARTMENT
To the Board of Managers of the Quincy City Hospital Gentlemen:
During the past year the work of the department has progressed smoothly. The total number of treatments given was 7137.
Equipment
No changes in equipment were made, as all machines have been kept in good condition by the maintenance department of the hospital.
Personnel Changes
Certain changes in personnel were necessary on account of the illness of Mrs. Rolf Martens, followed by her resignation as Head Aid. Mr. Leland Stevens, former assistant to Mrs. Martens, was given the posi- tion of Head Aid in recognition of his good work in the department. Miss Elizabeth Gordon was appointed to fill the position vacated by Mr. Stevens' promotion.
223
REPORT OF CITY HOSPITAL
All Kinds of Cases Treated
Included in the wide variety of clinical problems in this department were many cases of back strain, after-care of fracture, paralysis of cer- tain types, infected wounds of many kinds, arthritis and chronic diseases of the extremeties.
Treatments given were all forms of electro-therapy, hydro-therapy. heliotherapy, manipulation, and massage.
Detailed statistics of the department are as follows:
Auto condensation
40
Cabinet batlı
4
Colonic Irrigation
28
Comp. Sol. Lite
44
Diathermy
1286
Electric Saturation
114
Extremity baker
15
Fulguration
18
Galvanism
136
General hydrotherapy
115
Grounded diathermy
5
Infra red
254
Manipulation
108
Massage
1340
Muscle testing
2
Passive motion
45
Radiant light
1850
Scotch douche
5
Sinusoidal
5.52
Sitz Bath
5
Static electricity
157
Ultra violet air cooled
569
Ultra violet water cooled
369
Vibration
62
Whirlpool bath
14
Total 7137
Respectfully submitted, CLAUDE L. PAYZANT Physio-Therapist
REPORT OF THE LABORATORY
To the Board of Managers of the Quincy City Hospital Gentlemen :
The following is the report of the Clinical and Pathological Labora- tory for the year 1935.
There has been another increase in the total number of specimens examined during the past year keeping pace with the gradual increase in admissions to the hospital.
Scientific Interest Increases
The total number of post mortem examinations, and the percentage also, showed an increase which reflects the increased scientific interest of the staff in the study of its cases. The cooperation of the citizens of Quincy in granting permission for post mortem examinations is fully
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CITY OF QUINCY
appreciated by the staff of the hospital. These examinations are in- tended to increase the scientific knowledge of disease processes thus enabling the clinical staff to render a more complete medical and sur- gical service to all patients in our community.
Hospital is Center for Serum
The laboratory is acting as a center for Pneumococcus typing and the distribution of Anti-pneumonicoccic serum for early cases of Pneumonia in the South Shore district. There has been an increased demand for this service.
The following is a detailed report of specimens examined during the vear 1935.
State Reports:
Hintons 585
Wassermanns, Blood
38
Wassermanns, Spinal Fluid
40
G. C. Complement Fixation
17
Spinal Fluid. Gold Sol
23
Spinal Fluid, Total Protein
1
Agglutination Test for Undulant Fever
3
Widals 20
Cultures for Typhoid Feces
10
Cultures for Typhoid, Urine
1
Cultures for Dysentery, Feces
1
Quincy City Hospital Laboratory :
Urinalyses 9077
(Pre-natal 184 excepting January)
Urobilinogen
2
Galactose Tolerance
1
Kidney Function Tests: Phenol-Sulphon-Phthalein
120
Mosenthal
3
Urine Concentration
3
White Blood Counts
1395
Red Blood Counts
999
Hemoglobin
1039
Color Indices
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